11-RFP 2025-306 Workbook - Final.xlsx

XLSX spreadsheet 1 MB Posted

Attached to
RFP 2025-306 Johnson County Employee Assistance Program (EAP)
Solicitation number
2025-306
Issued by
Jefferson County, Texas

About this file

This document is an Employee Assistance Program (EAP) Request for Proposal (RFP) issued by Johnson County, Texas for their 2026 contract period. The RFP seeks formal quotes for an EAP service with a proposed 3-year contract term, including two 1-year renewal options, effective January 1, 2026. Key dates include the RFP release on September 13, 2025, a bidder question deadline of September 22, 2025, and the final proposal submission deadline of September 29, 2025, with Johnson County planning to finalize carrier selection by October 10, 2025. The contract will cover 817 benefit-eligible employees, with the current EAP being 100% employer-paid.

The RFP includes detailed requirements for vendors to provide comprehensive EAP services, with a focus on core services such as counseling (telephonic, face-to-face, and virtual), employer services, critical incident support, and various consultative services including financial, legal, child care, and elder care assistance. Vendors are required to complete multiple workbook tabs covering plan design, financial exhibits, geographic access, and a comprehensive questionnaire. The county is seeking a strategic partner and will evaluate proposals based on service capabilities, implementation process, account management, member services, communication tools, and web-based resources. The RFP emphasizes confidentiality and requires vendors to provide detailed information about their service offerings, provider networks, and technological capabilities.

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Cover

RFP 2025-305 Johnson County Employee Assistance Program (EAP)
EAP RFP Workbook
January 1st,2026

Instructions There are BLUE tabs that you are required to complete as part of the EAP RFP.

Enter your responses in the PEACH highlighted cells provided in each tab of the Workbook.

Do NOT edit the formatting of the tabs in any way; if you edit the formatting of the tabs your response will not be considered.

RFP Overview

RFP OVERVIEW
RFP INTRODUCTION
Johnson County's 2026 contract for their Employee Assistance Program expires 1/1/2026. Johnson County is conducting a Request for Proposal (RFP) to obtain formal quotes for an EAP for the 2026 contract period. In addition, Johnson County is leveraging this RFP as an opportunity to understand the strategic direction of selected carriers in the market to evaluate the organization best positioned to partner with them.

See attached EAP benefit summary. All respondents should match in-force, current plan design.

Contract Term: The requested contract term is 3 years, with two 1 year renewal options. Each renewal will be based upon the same terms and conditions as the original, except for performance guarantees. Performance guarantee results will be reviewed each year and may be revised by mutual agreement. Other contract terms and conditions changes must be made by mutual agreement. The contract may be terminated by either party for any reason by giving sixty (60) days written notice of intent to terminate.
Effective Date: The proposed effective date for this plan is January 1st, 2026.
Commissions: Please quote net of commissions.
COMPANY INTRODUCTION
Johnson County

SIC Code: 75-6001030 Nature of Business: Government Entity Corporate Address Johnson County 2 N Main St Cleburne, Tx 7633 WEBSITE: https://www.johnsoncountytx.org/

Benefits Administration Vendor: ComPsych
ELIGIBILITY AND PARTICIPATION
Plan Eligibility:

Plan Eligibility: Full-time (30+ hours) Benefits Effective: First day of the month following 60 days of continuous service Domestic Partner Coverage: Not Covered Employer Contribution:

The current EAP is 100% Employer paid.

Participation:

Number of Benefit Eligible Employees: 817

RFP TIMELINE
September 13, 2025: Johnson County releases RFP to market.
September 22, 2025: Bidder deadline to submit questions regarding the meaning or interpretation of the RFP to Johnson County by 2:00 PM CST. Questions and answers will be blinded and provided to all respondents invited to participate in the RFP.
September 26, 2025: Blinded questions and answers provided to all respondents.
September 29, 2025: Quoting carrier deadline to submit RFP response by 2:00 PM CST.
October 10, 2025: Johnson County to finalize carrier selection decision (subject to change).
January 1, 2026: Plan Effective date.
RFP EXAMINATION & CONFIDENTIALITY
The respondent is expected to examine this RFP carefully, understand the terms and conditions for providing the pertinent services and respond completely in the format provided. All information included in this RFP is considered confidential and should not be shared with anyone outside of your organization. All reference herein to Johnson County includes employees and their representatives.
RFP QUESTION SUBMISSION
Bidder questions regarding the meaning or interpretation of this RFP must be sent via by 2:00 p.m. CST on September 22, 2025 Questions and answers will be blinded and provided to all respondents selected to participate in the RFP by 5:00 p.m. CST on September 26, 2025. Any additional written information given to respondents should be considered an amendment to the RFP and will be addressed to all with an Addendum.
Submit all questions related to this RFP to Johnson County via Bonfire - Vendor Discussion
Respondents shall not contact Johnson County staff or any representative acting on behalf of Johnson County to explain, clarify or discuss their proposals before an award has been made, except as set out in this section. Violation of this provision may lead to disqualification from consideration.
RFP RESPONSE SUBMISSION
Final bidder responses to this RFP must be sent to bonfire by 2:00 p.m. CST on September 29th, 2025. Any additional written information given to respondents should be considered an amendment to the RFP.
Submit a copy of final RFP response to Johnson County via Bonfire at the link below:

https://johnsoncountytx.bonfirehub.com Please see the RFP Document for additional submission instructions.

All responses, inquiries, and correspondence relating to or in reference to this RFP, and all electronic media, reports and other documentation submitted by the respondent shall become the property of Johnson County. Any cost or expense incurred by the respondent that is associated with the preparation of the proposal will be at the respondent's sole cost and expense. By submitting the proposal, the respondent certifies and represents to Johnson County that the respondent has not offered, conferred or agreed to confer any pecuniary benefit or other item of value for the receipt of special treatment, advantage, information, opinion, recommendation, or any other exercise of discretion concerning this RFP.
CONTACT & COMMUNICATION
During the period between proposal submission and the contract award, the respondent shall not directly discuss or promote their proposal with Johnson County unless requested by Johnson County. No publicity or news release about this RFP, the response, or discussion of any kind related to this RFP, or to the award of any contract, may be released without the prior written approval of Johnson County.
PROPOSAL SUBMISSION REQUIREMENTS
All tabs in highlighted in blue are to be completed by the respondent. Enter your responses in the teal highlighted tabs. Instructions for completion are located at the top of each tab. Additional requested exhibits or those provided by you as supplemental information should be referenced in your response in the workbook and should be submitted at the same time as the workbook. The required tabs and exhibits include:

- Plan Design

- Financial Exhibit

- Geo Access

- Questionnaire

RESERVATIONS OF RIGHTS
Johnson County reserves the right to:

- Reject any and all proposals received

- Issue a subsequent RFP

- Cancel the entire RFP

- Remedy technical errors in the RFP process

- Negotiate with any, all or none of the respondents to the RFP

- Accept the written proposal as an offer

- Waive informalities and irregularities

- Accept one or more proposals Release of this RFP does not commit Johnson County to enter into a contract nor does it obligate it to pay any costs incurred in preparation and submission of proposals or in anticipation of a contract.

&"Arial,Bold"EAP RFP WORKBOOK

&A Holmes Murphy - CONFIDENTIAL &P

Census

Census as of August 2025 - All Active Employees
EE DOBGenderHome Zip CodeTier Status

(EE, E+S, E+C, FAM)

10/01/2004F76009Employee Only
08/08/2002F76033Employee Only
09/10/1958M76028Employee Only
08/23/2001M76131Employee Only
12/20/1974F76009Employee Only
04/16/1997F76033Employee + Children
04/19/1980F75054Employee Only
07/31/2003F76050Employee Only
09/18/1979M76033Employee Only
05/23/1993F76033Employee + Children
09/01/1988F76692Employee Only
01/03/1975F76033Employee + Children
11/23/1965F76093Employee Only
04/09/1977F76033Employee Only
07/14/1964F76044Employee Only
11/16/1968F76009Employee + Spouse
02/18/1993M76033Employee + Children
10/22/1995M76033Employee Only
09/08/1994F76033Employee Only
12/20/1971M76033Employee Only
11/21/2000F76033Employee Only
12/14/1988F76058Employee Only
12/08/1985F76009Employee Only
05/30/1971M76033Employee Only
06/15/1979M76050Employee Only
09/06/1964M76009Employee Only
06/04/1985F76033Employee + Children
05/30/1973F76028Employee Only
04/29/1976F75165Employee Only
12/09/1945M76033Employee Only
12/11/1975M76652Employee + Spouse
09/10/1999M76050Employee Only
10/14/1969M76087Employee + Family
10/27/1990F76031Employee Only
12/03/1958M76093Employee Only
11/21/1988F76140Employee + Children
07/02/1969M76033Employee Only
09/15/1969F76033Employee Only
03/22/1980F76050Employee + Children
02/25/2000M76033Employee Only
05/13/1971M76690Employee Only
06/09/2003F76652Employee Only
09/27/1996F76028Employee + Children
11/17/1964F76009Employee Only
10/10/1953F76111Employee Only
09/29/1983M76058Employee Only
02/18/1997M76031Employee Only
05/26/1984F76058Employee Only
06/02/2001M76033Employee Only
04/18/1965F76028Employee Only
10/23/1995M76058Employee Only
10/08/1975M76033Employee Only
09/19/1984F76028Employee Only
01/03/1983F76058Employee Only
04/20/1981M76084Employee Only
07/03/2001F76009Employee Only
06/12/1987F76033Employee + Children
07/22/1969F76031Employee Only
12/11/1968F76033Employee Only
06/20/1992M76033Employee Only
05/10/1961M76048Employee + Spouse
08/09/1952M76265Employee Only
08/01/1984M76058Employee Only
10/03/2006M76031Employee Only
04/23/1992F76033Employee Only
12/16/1984F76070Employee Only
03/24/2004F76070Employee Only
05/15/1987M76033Employee + Family
10/11/1967F75165Employee + Children
09/01/1986M76050Employee Only
04/03/1996M76182Employee Only
12/15/1974M76033Employee + Spouse
05/10/1969F76033Employee Only
02/18/1975M76009Employee Only
12/01/1964M76033Employee + Spouse
03/18/1971M76044Employee Only
07/11/1979F76033Employee Only
08/28/1989F76660Employee Only
04/11/1974F76031Employee Only
09/08/1962M76031Employee Only
12/02/1983F76028Employee Only
09/17/1970M76033Employee + Spouse
03/05/1981F76031Employee Only
05/11/1992F76050Employee Only
07/14/1997M76028Employee Only
02/04/1978F76058Employee Only
07/28/1956M76048Employee Only
10/12/1960M76028Employee Only
06/20/1961F76033Employee Only
05/03/1999F76050Employee Only
12/07/1962F76009Employee Only
02/14/1968M76101-1120Employee Only
04/25/1991M76043Employee Only
04/06/2004M76031Employee Only
03/24/1961F76031Employee + Spouse
06/15/2001M76627Employee Only
12/05/1977M76028Employee Only
12/31/1974F76033Employee Only
11/09/1984F76028Employee Only
03/21/1964F76050Employee Only
12/01/1986F76093Employee + Children
02/07/1982F76050Employee + Children
12/14/1988M76033Employee + Family
08/13/1969M76055Employee Only
08/30/1964F76009Employee Only
03/27/1990M76114Employee Only
11/21/1981F76058Employee Only
07/18/1985M76033Employee + Family
05/25/1994F76097Employee Only
03/19/1987F76058Employee + Children
07/11/1999F76028Employee Only
07/12/1973F76058Employee Only
08/03/1990M76028Employee Only
08/07/1978F76033Employee Only
06/18/1980F76058Employee + Children
06/09/1982F76033Employee Only
11/27/1963F76033Employee Only
01/20/1966M76033Employee Only
06/08/2001M76033Employee Only
07/26/1961M76033Employee Only
07/07/1972F76033Employee + Children
09/07/1984M76106Employee + Children
01/31/1985F76033Employee + Children
12/03/1965F76692Employee Only
07/15/1955F76031Employee Only
03/21/1995F76033Employee Only
11/12/2003F76033Employee Only
05/23/1985F76093Employee Only
10/21/1994F76031Employee Only
04/10/1999M75152Employee + Spouse
05/09/1968F76033Employee + Spouse
09/10/1971F76033Employee Only
07/14/1975F76028Employee Only
11/23/1973F76031Employee Only
07/31/2006F76058Employee Only
04/17/1992F76031Employee Only
10/12/1975F76033Employee Only
12/19/1988M76652Employee + Family
12/04/1995F76063Employee + Children
07/18/1987M76033Employee + Children
04/08/1990F76033Employee Only
06/23/1976F76093Employee + Children
10/13/1975F76055Employee Only
11/22/1971F76033Employee Only
11/16/1995M76033Employee Only
12/29/1956F76033Employee Only
08/28/1995F76044Employee + Family
09/03/1971F76009Employee + Children
06/21/2001M76020Employee Only
04/19/1979F76093Employee Only
12/09/1972M76028Employee Only
07/07/1966F76043Employee Only
07/24/1975M76009Employee + Children
07/15/1955F76033Employee Only
11/18/1982F76031Employee Only
11/29/1960F76009Employee Only
09/19/1985F76049Employee + Children
08/09/1970F76031Employee Only
07/21/1976M76050Employee Only
04/22/1975M76140Employee Only
09/10/1982M76036Employee Only
02/13/2005M76028Employee Only
07/30/1996M76109Employee + Spouse
08/18/1999M76119Employee Only
01/29/1965F76033Employee Only
06/19/1990F76033Employee Only
10/27/1988F76059Employee Only
10/17/1973F76028Employee Only
01/28/1996M76033Employee + Children
10/05/1990M76031Employee Only
09/20/1967F76033Employee Only
11/24/2003M75165Employee Only
09/08/1981M76033Employee Only
10/18/1958F76028Employee Only
09/15/1999M76009Employee Only
09/28/1983F76050Employee + Children
03/01/1980M76043Employee Only
03/06/1986F76031Employee Only
05/10/1986M76031Employee Only
09/09/1951M76028-5011Employee Only
07/01/2004F76031Employee + Children
06/02/2004M76033Employee Only
02/06/1997M76031Employee + Family
03/10/1994M76059Employee Only
12/27/2001F76634Employee Only
08/12/1973F76033Employee + Children
06/20/1990M76028Employee Only
02/27/2001M76033Employee Only
06/10/1970M76033Employee Only
08/22/1974F76033Employee + Children
01/24/1976F76033Employee Only
09/22/2005M76058Employee Only
10/28/2002M76059Employee Only
04/05/1989F76104Employee + Children
06/16/1964M76028Employee Only
08/03/1963F76033Employee Only
08/24/1966F76033Employee Only
05/24/1994M76164Employee + Spouse
03/15/1991M76033Employee Only
01/25/1979F76033Employee Only
11/05/1984M76058Employee Only
05/15/1991M76140Employee Only
04/15/1988M76043Employee Only
09/07/1970F76050Employee Only
12/01/1968M76031Employee Only
01/12/1978F76463Employee + Children
12/30/1976F76033Employee + Children
11/18/1986F76031Employee + Children
01/15/1992F76058Employee + Children
02/28/1970F76671Employee Only
11/09/1970M76671Employee Only
01/18/1978F76050Employee Only
01/22/1997F76009Employee Only
04/11/2000M76031Employee Only
08/16/2000F76058Employee + Children
06/25/1999M76033Employee Only
10/28/1990M76044Employee + Family
08/06/2003M76028Employee Only
11/16/1960M76093Employee Only
11/06/1995F76028Employee Only
03/01/1971M76028Employee Only
09/04/1963M76050Employee Only
05/23/1970F76084Employee Only
06/30/1996F76036Employee Only
07/17/1995M76035Employee Only
10/03/1972M76627Employee Only
01/13/1987F76009Employee Only
08/06/1971F76033Employee Only
01/22/1975F76031Employee Only
01/06/1978F76050Employee + Children
03/22/1991F76031Employee Only
05/11/1989M76033Employee Only
05/08/1973M76645Employee + Spouse
08/20/1992M76033Employee Only
08/18/1982M76033Employee Only
03/03/1999M76028Employee Only
09/19/1991F76033Employee + Children
05/05/1989F76033Employee + Children
04/22/1964F76058Employee Only
06/07/1991F76033Employee Only
01/04/1961M76028Employee + Children
08/08/1998M76033Employee Only
12/12/1995F76033Employee Only
09/16/2003F76028Employee Only
10/07/1968F76058Employee Only
12/25/1989F75104Employee + Family
02/22/1961F76036Employee Only
07/04/1997M76049Employee Only
11/06/1984M76050Employee Only
09/21/1992F76093Employee + Children
04/25/1970M76043Employee Only
05/21/1974M76033Employee Only
11/05/1979M76692Employee Only
09/08/1993M76017Employee Only
05/18/1993F76123Employee + Family
06/06/1995M76033Employee Only
10/20/1982F76058Employee + Children
08/22/1979F76033Employee Only
01/15/1985M76033-5404Employee Only
10/28/1975F76028Employee Only
11/09/1967M76050Employee Only
11/30/1967M76033Employee Only
06/13/1956F76084Employee Only
07/06/2003M76119Employee Only
11/10/1995M76031Employee Only
11/12/1970M76036Employee Only
06/02/1998M76636Employee Only
09/22/1976M76043Employee + Spouse
04/12/1985M76050Employee + Family
11/17/2000F76058Employee Only
09/04/1982F76050Employee + Family
06/27/1989F76087Employee Only
04/07/1972F76049Employee Only
05/30/1967M76033Employee Only
01/26/1971F76028Employee Only
12/03/1970F76058Employee Only
03/23/1990F76031Employee Only
06/06/1957M76031Employee Only
10/30/1975F76033Employee + Children
03/25/1986M76028Employee + Children
11/09/1958F76031Employee Only
08/01/1979F76028Employee Only
02/18/1967F76044Employee Only
07/16/1991M76028Employee Only
02/14/1989F76033Employee Only
03/04/1997F76033Employee Only
08/06/1998M76093Employee Only
03/16/1981M76008Employee + Children
03/11/1991F76132Employee Only
06/28/1971F76028Employee Only
12/13/1986F76031Employee Only
07/27/1975F76009Employee Only
08/23/1983F76028Employee Only
07/26/1985F76033Employee + Children
12/22/1984M76065Employee + Family
09/03/2002F76140Employee Only
07/28/1975F76050Employee Only
12/23/1987M76058Employee + Children
04/11/1971F76133Employee Only
10/27/1997M76033Employee Only
08/03/1965F76692Employee Only
01/23/2003F76093Employee Only
01/02/1984F76093Employee + Children
10/29/1998F76645Employee Only
10/22/1980F76031Employee Only
12/29/1951M76008Employee + Spouse
10/09/1979F76033Employee Only
03/20/2006M76031Employee Only
01/11/1976F76048Employee + Family
07/02/1954M76009Employee + Family
12/04/1967F76043Employee Only
07/22/1978M76028Employee Only
08/13/1960F76033Employee Only
07/29/1962M76044Employee Only
01/11/1971F76009Employee Only
08/19/1997F76692Employee Only
09/24/1975M76009Employee + Spouse
12/04/1969F76690Employee Only
03/07/1988F76033Employee Only
09/09/1951M76028Employee Only
09/02/1990F76033Employee Only
03/25/2002M76031Employee Only
07/22/1979M76031Employee + Spouse
08/07/1954M76033Employee Only
04/01/1996M76036Employee Only
04/04/1965M76028Employee Only
04/10/1992M76033Employee + Children
02/28/1959M76048Employee Only
07/05/1964F76692Employee Only
04/04/1968F76031Employee Only
07/30/2003F76028Employee + Children
09/16/1966F76033Employee Only
10/06/1963F76028Employee Only
03/20/1984F76058Employee Only
08/07/1970F76033Employee Only
06/13/2003M76033Employee Only
05/06/1998F76033Employee Only
11/18/1973F76033Employee + Children
01/25/1958M76028Employee Only
08/12/1982M76058Employee + Children
10/21/1969M75109Employee Only
08/07/1973M76033Employee Only
05/28/1982F76036Employee + Children
04/16/1998F76627Employee + Children
10/15/2006F76044Employee Only
09/19/1978M76148Employee Only
10/23/1983F76148Employee + Children
12/19/1980F76033Employee + Children
06/28/1996F76044Employee Only
06/18/1992F76033Employee Only
07/12/1976F76031Employee Only
11/12/1989F76058Employee Only
02/04/2003F76028Employee Only
06/18/1997M76033Employee Only
08/12/1980M76058Employee Only
10/25/1988F76033Employee + Children
02/27/1977F76050Employee Only
12/15/1999M76028Employee Only
06/30/1995F76033Employee Only
08/13/2001M76108Employee Only
06/03/1993F76033Employee Only
10/10/1989M76033Employee + Children
07/01/1964M76058Employee Only
01/07/1981M76058Employee Only
12/11/1996F76009Employee + Family
03/08/1964F76093Employee Only
01/09/1961M76050-4414Employee Only
04/29/1985M76028Employee + Children
12/15/1960M76050Employee Only
09/21/1985F76050Employee Only
10/22/1997F76009Employee + Spouse
04/14/1975M76009Employee + Spouse
07/09/1962M76028Employee Only
01/19/1992M76093Employee Only
12/03/1965F76043Employee + Spouse
07/05/1973F76033Employee Only
04/06/1974M76652Employee Only
09/29/1992M76020Employee Only
12/29/1987F76636Employee Only
01/22/1971M76009Employee Only
02/17/1978M76044Employee + Family
08/31/1973M76033Employee + Children
03/08/1988F76033Employee Only
10/11/1966F76133Employee + Spouse
03/05/1960M76033Employee Only
04/18/1988F76028Employee Only
11/02/1967M76033Employee + Children
09/22/1988M76016Employee Only
02/13/1966F76050Employee Only
09/11/1981M76028Employee Only
05/31/1982M76636Employee Only
10/15/1975M76058Employee Only
10/29/1963F76050Employee Only
04/09/1981F76031Employee Only
09/03/1968F76028Employee Only
11/09/1982F76031Employee Only
09/23/1970M76065Employee + Children
07/06/1974M76031Employee Only
11/23/1987F76627Employee Only
05/29/1996F76044Employee Only
08/31/2004M76028Employee Only
05/14/1993F76692Employee + Children
05/06/1959F76033Employee Only
11/07/2001F76033Employee Only
04/11/1995F76031Employee + Children
04/19/1989M76033Employee + Family
10/20/1988F76093Employee + Children
09/27/1958F76627Employee Only
09/27/1988F76031Employee + Children
05/18/1984M76028Employee Only
10/13/2004M76028Employee Only
06/28/1991F76028Employee + Family
07/02/1970F76033Employee Only
12/14/1995M76033Employee + Children
09/24/1999M76036Employee Only
04/20/1979F76028Employee Only
12/21/1970F76043Employee Only
10/14/1980F76050Employee Only
07/26/1979M76028Employee Only
08/22/2000M76009Employee Only
05/03/1981F76033Employee + Family
12/28/1992F76028Employee Only
05/02/1975M76033Employee Only
04/12/1997M76033Employee + Family
12/23/1972F76058Employee Only
05/28/1956M76058Employee Only
02/16/1983F76058Employee + Children
04/30/1964F76031Employee Only
02/03/1971M76059Employee Only
12/13/1991F76055Employee + Children
10/15/1977F76028Employee + Children
01/17/1958M76031Employee Only
03/09/1993M76050Employee Only
04/25/1995M76028Employee Only
02/02/1976F76036Employee Only
04/16/1970M76033Employee Only
08/05/1964M76058Employee Only
09/23/1985M76627Employee Only
03/28/1963F76033Employee Only
07/01/2002F76031Employee Only
12/16/1957F76033Employee Only
08/21/1979M76058Employee + Spouse
03/20/1951M76009Employee Only
07/20/1998M76031Employee Only
11/22/1988F76033Employee Only
08/24/1998F76009Employee Only
08/08/1987F76033Employee Only
07/27/2001F76031Employee Only
10/14/1971F76033Employee Only
05/30/1967M76028Employee Only
03/08/1974F76044Employee Only
09/18/1979M76126Employee + Family
12/19/1973M76028Employee Only
08/08/2002F76033Employee Only
04/05/1983F76244Employee + Children
01/31/1964F76108Employee Only
04/17/1947M76033Employee Only
12/26/1984F76044Employee + Children
11/27/1956M76645Employee + Children
03/22/2001M76028Employee Only
10/29/1976F76009Employee Only
06/18/1951M76033Employee Only
01/08/1967F76031Employee + Spouse
02/05/1974M76009Employee Only
11/24/1967F76033Employee Only
04/27/1994M76033Employee + Children
05/21/1985M76028Employee + Children
07/28/1963M76126-3810Employee Only
09/17/1984F75167Employee + Children
03/28/1980M76627Employee Only
08/04/1982F76058Employee + Spouse
07/12/1995M76033Employee Only
08/29/1975F76033Employee + Children
11/09/1959F76031Employee Only
11/14/1984F76058Employee Only
06/08/2005M76050Employee Only
01/01/1961M76093Employee Only
10/06/1995M76028Employee Only
05/07/1989F76058Employee Only
05/04/1996M76033Employee Only
08/15/1966F76028Employee Only
10/11/1954M75006Employee Only
06/09/1983F76028Employee Only
06/08/1983M76033Employee Only
01/04/1966M76028Employee Only
10/03/1964F76033Employee Only
03/15/1967M76033Employee Only
10/08/1961F76033Employee + Spouse
12/18/1986M76031Employee Only
08/07/1962F76028Employee Only
12/22/1982F76033Employee Only
03/04/1970M76058Employee Only
01/11/1977F76058Employee Only
11/09/1990F76009Employee Only
04/15/1971M76058Employee Only
11/15/1971F76123Employee Only
07/01/1962M76058Employee Only
05/14/2000F76028Employee Only
02/12/1993M76058Employee Only
10/19/1952M76028Employee + Spouse
08/27/1975M76033Employee + Children
01/21/1969F76031Employee Only
11/25/1969M76028Employee Only
03/26/1962M76033Employee + Spouse
02/17/1997F76050Employee Only
01/23/1985F75152Employee + Children
01/02/1996F76009Employee Only
01/03/1970F76033Employee Only
08/12/2000F76033Employee Only
08/01/1996F76050Employee + Children
02/26/1981F76044Employee Only
05/07/1960M76031Employee Only
02/03/1955F76044Employee Only
05/02/1996F76033Employee Only
03/17/2002M76033Employee Only
09/12/1996F76009Employee Only
04/03/1959M76084Employee Only
05/06/1984M76087Employee Only
12/20/1985F76692Employee Only
08/18/1984M76043Employee + Children
11/02/1999M76126Employee Only
12/16/1972M75110Employee Only
04/11/1989F76031Employee Only
02/06/1960M76028Employee Only
02/03/1998F76108Employee Only
12/15/1980F76036Employee + Spouse
03/24/2004M76036Employee Only
04/12/1965M76033Employee Only
07/17/1991M76622Employee Only
03/20/2000M76036Employee + Children
08/17/1995F76033Employee + Spouse
07/12/2005F76033Employee Only
04/24/1973M76028Employee + Family
02/07/1986F76058Employee + Children
07/26/1971M76031Employee + Spouse
08/31/1977M76002Employee Only
03/25/1994F76401Employee + Children
11/17/1969M76028Employee + Children
12/21/1991F76009Employee Only
04/23/1992M76048Employee Only
03/16/1957M76033Employee Only
06/07/1992F76050Employee + Children
08/06/1988F76033Employee Only
11/27/1987F76033Employee + Children
01/28/1962F76031Employee Only
06/09/1972M76059Employee Only
06/29/1977M76033Employee Only
09/14/1998F76059Employee + Family
09/01/1983F76044Employee Only
11/23/1961F76033Employee Only
07/17/1992F76671Employee Only
03/20/1983F76016Employee Only
05/26/1958F76033Employee Only
06/28/1994M76033Employee Only
10/29/1998M76033Employee Only
10/06/1978F76033Employee Only
02/16/1996M76033Employee Only
08/03/2004F76009Employee Only
03/03/1971M76028Employee + Children
12/23/1988M76001Employee Only
08/24/1969M76671Employee + Spouse
02/19/1993F76031Employee + Family
07/13/1959F76692Employee Only
09/23/1989M76028Employee Only
12/08/1970F76692Employee Only
02/17/1962M76065Employee + Spouse
02/22/1972M76043Employee Only
05/15/1968F76033Employee Only
10/15/1969F76033Employee Only
03/15/1989M75061Employee + Children
08/06/1998F76031Employee Only
08/10/1981M76028Employee + Family
06/10/2001M76031Employee + Children
02/02/1998F76033Employee Only
07/10/1979F76058Employee + Children
11/17/1998M76058Employee Only
04/23/1968M76028Employee + Children
11/14/1995F76044Employee Only
10/14/1997F76033Employee Only
08/08/1967M76033Employee Only
02/06/1979F76028Employee Only
05/25/1959F76033Employee Only
04/27/1988F76009Employee Only
06/08/1998M76031Employee + Family
04/05/1972M76031Employee + Spouse
05/19/1970F76028Employee Only
03/02/2005M76652Employee Only
09/23/1973F76009Employee Only
05/31/1977F76031Employee Only
09/11/1986M76031Employee + Children
03/04/1981F76049Employee + Children
04/15/1988F76033Employee + Children
04/20/1992F76028Employee + Family
09/25/1976F76031Employee Only
01/09/1965F76061Employee Only
03/22/1971M76636Employee Only
04/08/1975F76028Employee Only
06/21/1988M76031Employee + Spouse
12/29/1989M76033Employee Only
02/07/1969F76031Employee Only
06/28/1967M76028Employee Only
08/03/1992M76031Employee + Children
03/14/1956M76019Employee Only
07/24/1985M76009Employee + Family
12/05/2001F76033Employee Only
08/17/2003F76033Employee Only
09/16/1967M76043Employee Only
10/05/1972M76031Employee Only
06/21/1979M76033Employee Only
05/14/1987F76033Employee Only
12/19/1960F76033Employee Only
11/07/1989M76031Employee Only
09/18/1966F76044Employee Only
08/02/1989F76049Employee + Children
07/25/1986M76028Employee Only
12/24/1963M76043Employee Only
09/11/1974F76031Employee Only
08/06/1995F76059Employee Only
02/17/2003M76031Employee + Children
01/19/1960M76033Employee + Spouse
08/18/1967F76028Employee Only
02/26/1971F76050Employee Only
02/22/2001F76009Employee Only
02/22/2001F76009Employee Only
05/28/1992M76031Employee Only
06/27/1997M76117Employee Only
05/11/1973F76627Employee Only
12/03/1955F76058Employee Only
09/19/1960F76033Employee Only
07/09/1997M76033Employee Only
04/30/1973F76009Employee Only
02/08/1986F76031Employee Only
08/22/1980F76033Employee Only
11/19/1963F76645Employee Only
06/28/1982F76028Employee Only
05/28/1964M76031Employee + Spouse
04/03/1998F76036Employee Only
02/19/1991M76028Employee + Family
12/02/1991M76033Employee Only
03/18/1970F76033Employee Only
02/14/1957M76036Employee Only
05/14/1973F76033Employee Only
02/03/1958F76049Employee Only
05/06/1992M76179Employee Only
07/12/1964F76033Employee + Children
04/17/1970F76033Employee Only
10/14/1975F76033Employee Only
09/04/1984M76009Employee Only
06/02/1962F76048Employee Only
09/05/1996M76059Employee Only
08/07/1969M75154Employee Only
11/27/1985F76009Employee + Children
12/07/1966M76033Employee Only
05/27/2001M76058Employee Only
01/24/1986F76058Employee Only
06/21/1983M76044Employee + Family
02/19/1963F76059Employee Only
02/23/1987M76063Employee Only
07/19/2003F76058Employee Only
03/25/1984F76028Employee + Children
01/08/1970F75167Employee + Spouse
07/08/2003F76059Employee Only
01/08/1982F76036Employee Only
12/30/1971M76031Employee + Children
06/13/1990F76028Employee Only
09/11/1972M76033Employee + Children
06/15/1980F76033Employee + Spouse
04/05/1971F76671Employee + Children
09/07/1957M76009Employee Only
02/08/1968M76671Employee Only
05/18/1946M76033Employee Only
01/18/1971M76692Employee + Children
04/04/1999F76065Employee Only
03/18/1980F76044Employee Only
10/10/1976F76033Employee Only
01/20/1994M76028Employee + Children
02/01/1964M76031Employee Only
12/20/1986M76009Employee + Family
10/14/1968M76634Employee Only
01/01/1986F76033Employee + Children
04/26/1998M76033Employee Only
10/05/1977F76028Employee + Children
02/20/1982M76033Employee + Children
12/31/1983M76692Employee Only
12/14/1965F76665Employee Only
01/03/1952M76028Employee Only
11/16/1988F76009Employee Only
06/24/1964M76636Employee Only
01/12/1977F76028Employee + Children
06/21/2001F76031Employee Only
12/04/1982M76009Employee + Family
07/26/1975F76009Employee Only
07/19/1992F76634Employee Only
06/24/1985M76033Employee Only
10/02/1987M76401Employee + Family
08/13/1965F76009Employee + Spouse
12/12/1986M76028Employee + Children
11/30/1983M76133Employee Only
07/26/1983M76044Employee Only
03/28/1962F76033Employee Only
08/07/1952M76472Employee Only
03/18/1955F76033Employee Only
03/12/1992M76028Employee + Children
07/31/1976M76133Employee Only
03/15/1999M76093Employee Only
07/31/1971M76033Employee + Family
12/19/1980F76093Employee Only
11/24/1977M76033Employee Only
10/18/1963F76055Employee Only
10/08/1983F76044Employee Only
04/20/1989M76652Employee Only
08/18/2002F76065Employee Only
12/14/1986F76033Employee + Children
05/14/1982M76033Employee Only
08/17/1986M76028Employee Only
04/10/1981M76043Employee Only
08/31/1971F76033Employee Only
11/16/1998M76692Employee + Family
10/26/1988F76043Employee + Children
10/31/1952F76009Employee Only
07/02/1991M76028Employee Only
05/25/1976F76033Employee Only
03/05/1976F76028Employee + Children
08/05/2001M76033Employee Only
08/01/1990F76031Employee Only
08/03/1988F76028Employee + Children
02/19/1967F76028Employee Only
03/27/1980F76033Employee Only
10/24/1980M76009Employee + Children
01/20/1983F76028Employee Only
07/14/1999M76028Employee Only
03/28/1978M76044Employee Only
09/06/1973M76033Employee Only
01/18/1995F76049Employee + Children
07/04/1987F76058Employee + Family
05/24/2002M76028Employee Only
02/21/1990F76033Employee Only
09/13/1985F76049Employee Only
08/27/1989F76028Employee Only
11/23/1961F76031Employee + Spouse
04/05/1971M76028Employee Only
09/16/1965M76050Employee Only
05/19/1986F76652Employee + Children
01/10/1967M76044Employee Only
03/09/1984F76033Employee Only
10/26/1964F75167Employee Only
07/28/2000M76652Employee + Family
04/10/1988F76028Employee Only
06/24/1978M76033Employee Only
12/10/1962F76690Employee Only
05/10/1999M76058Employee Only
07/11/1981F76033Employee + Family
12/18/1977F76033Employee Only
11/16/2000F76631Employee Only
01/09/1976F76033Employee Only
09/23/1980F76009Employee Only
11/08/1992F76033Employee + Children
09/28/1982F76033Employee Only
07/06/1972M76050Employee + Spouse
12/05/1969F76070Employee + Family
12/20/1999M76036Employee + Children
07/07/1964M76050Employee Only
08/24/1961F76636Employee Only
10/05/1973M76031Employee Only
09/23/1963M76028Employee Only
03/31/1976M76067Employee + Family
06/16/1989M76179Employee Only
02/21/1986F76009Employee Only
10/02/1970M76033Employee Only
10/08/1999F76093Employee + Children
09/22/1997M76093Employee Only
09/19/1973F76033Employee Only
10/01/1986M76712Employee Only
12/20/1989F76033Employee Only
03/01/1946F76033Employee Only
03/23/1989F76636Employee + Children
03/01/1996F76179Employee + Children
10/06/2001M76028Employee Only
09/16/1961F76031Employee Only
01/14/1961F76028Employee Only
04/28/1971M76028Employee + Children
04/10/1986M76131Employee + Children
08/31/1981F76033Employee Only
06/22/1960M76033Employee Only
01/12/1992F76031Employee + Children
02/21/1991F76031Employee + Family
11/06/2000F76033Employee Only
06/27/1962M76033Employee Only
12/06/1969M76009Employee Only
07/01/1981F76031Employee Only
11/27/1978F76058Employee Only
10/01/2002F76050Employee Only
07/09/1981F76093Employee Only
11/19/1998M76028Employee Only
07/25/1963M76002Employee Only
12/18/1973F76033Employee Only
09/22/1990M76033Employee + Family
05/07/1979F76009Employee Only
12/30/1959M76084Employee Only
04/05/1987M76033Employee Only
10/15/1998M76636Employee Only
07/10/1998M76028Employee Only
12/18/1990F76058Employee + Children
08/19/2002M76033Employee + Children
09/15/1984F76119Employee Only
09/09/1969M76088Employee Only
05/27/1975F76476Employee + Children
08/12/1958M76033Employee Only
08/23/1951M76031Employee Only
01/26/1976F76058Employee Only
05/21/1970M76093Employee Only
05/02/2006M76020Employee Only
03/22/2005M76001Employee Only
08/29/1992F76033Employee Only
01/04/1991F76093Employee + Children
11/11/1969M76009Employee + Spouse
05/13/1954M76028Employee Only

&"Segoe UI,Bold"EAP RFP WORKBOOK

&A Holmes Murphy - CONFIDENTIAL &P

Plan Design

EAP Plan Design
Does your program include the following Core Services as part of the PEPM Fee or is there additional cost? Please chose from the dropdown list and provide comments as appropriate.
ServiceQuoted PlanAdditional Cost
(If applicable)Comments
Counseling
Telephonic Counseling
Face-to-Face Counseling
Virtual Counseling
Employer Services
Critical Incident Services
EAP orientations
Manager trainings
Health Fair attendance
Online Training Sessions
Onsite Training Sessions
Communications Materials
Services / Assistance
Financial Counseling
Legal Counseling
Child Care Consultation & Referral
Elder Care Consultation & Referral
Elder Care Services
Child Care Search Services
Adoption Services/Assistance
Daily Living Assistance
Smoking Cessation
Stress Management Services
Wellness Services
Integrated ID Recovery
Educational Assistance
Other: Identify any other pertinent information you feel the client should consider in reviewing your quote.
[Enter service/fee here]
[Enter service/fee here]
[Enter service/fee here]
[Enter service/fee here]

&"Segoe UI,Bold"EAP RFP WORKBOOK

&A Holmes Murphy - CONFIDENTIAL &P

Financial Exhibit Financial Exhibit

EAP ProductResponse
6-Visit Model (PEPM Fee)
Number of Years of Rate Guarantee
Number of Eligible Employees817
Estimated Monthly Premium$0.00
Estimated Annual Premium$0.00

&"Arial,Bold"&10EAP RFP WORKBOOK

&"Arial,Regular"&10&A &"Arial,Regular"&10Holmes Murphy - CONFIDENTIAL &"Arial,Regular"&10&P

Geo Access Geo Access

Please note that you must complete this information in the following requested formats in order for your quote to be considered. Enter only the networks that are included in your quoted rates. Please provide the analysis for all employees/zip codes in the grids below.

Please provide full detailed report attachments for the Geo Access within your formal proposal.

Carrier Name
Measurement: Providers in Network
# of Psychologists#
# of Psychiatrists#
Geo Access
# of Employees / Zip Codes Evaluated#
Providers
# of Providers Available to Employees
(Do Not Provide Total National Number of Providers)#
# of Locations Available to Employees
(Do Not Provide Total National Number of Locations)#
X Providers within X Miles2 / 20
% of Employee WITH access%
# of Employees WITH access#
% of Employee WITHOUT access%
# of Employees WITHOUT access#
Average distance to 2 providers for employees WITH desired access (in miles)# miles
Average distance to 2 providers for employees WITHOUT desired access (in miles)# miles

&"Segoe UI,Bold"EAP RFP WORKBOOK

&A Holmes Murphy - CONFIDENTIAL &P

Questionnaire Questionnaire

EAP vendors are required to respond to all requests for information contained in this questionnaire. This questionnaire will be scored; therefore, it is necessary that you provide concise answers. Your responses to the questions should be based on your current proven capabilities. Should there be instances where certain questions are not applicable to your organization or its operations, please so indicate. If you are selected to administer the Client's employee benefit plans, your responses to the questionnaire will be considered part of your contractual responsibilities. You are also requested to return the indicated exhibits as part of your proposal.
Answers should be summarized in short format and not exceed the allotted space within the cell(s) provided. DO NOT add extra rows/columns--work within the allotted space. Additional information in carrier format may be submitted along with the "Attachments" spreadsheet, if a vendor would like to include "more detailed" information.
#QuestionResponse
General
1Please provide the following information about your organization:

Name of company Headquarters address Phone number Website Primary contact and title

2Does your organization have any accreditations? If so, please list them.
3How long have you been providing EAP services?
4Do you anticipate any changes in your organizations basic ownership structure or any other significant changes in your organization (i.e. mergers acquisitions) within the next five years?
5How many providers do you contract with nationally? Please provide a break down of the providers you contract with nationally in terms of provider type.
6What differentiates you from the EAP market?
Account Service
1Describe your implementation process and timing. Please provide a sample timeline, indicating the responsibilities of each party.
2Describe the team, including their locations that would service our account. Will Johnson County have a dedicated Account Manager? If so, please provide bios of the dedicated team members.
3Are utilization reports available? At what frequency? Please provide sample utilization reports.
4Describe any Performance Guarantees you are willing to put in place. Which fees are at risk and what criteria will be tracked?
Member Service
1Do the in-take personnel work for your company or are they outsourced? What qualifications do your in-take personnel possess, and what licensure, if any, are they required to have?
2Do you provide unlimited live 24/7 toll-free access?
3What languages and TDD services are available?
4Will you refer to providers that are in the medical plan (BCBSTX) network?
5Please provide a brief description of the services offered that are listed below. If there are any limitations on the service or consultation, please indicate.
Legal consultations
Financial management consultations
Child/elder care
6Please provide information on Critical Incident services. How many hours are included? What is the cost for Critical Incident hours, and the cost for travel, if additional? What qualifies, and who makes the final decision if something qualifies?
Communications
1What types of employee communication pieces are available? Are they customizable?
2Are communication pieces available in multiple languages? If so, which languages?
3Is the printing/mailing of communications included within your fee? Please clarify if this includes bulk shipment to a client office or individual mailings to employees' home address.
Billing
1Is your billing list-bill, self-bill, or either option?
2If self-billing, do you require a list of each person on the plan each month?
3How will the monthly premium invoices be sent to the client? What are the acceptable methods of premium payment?
Web Tools
1Please describe the services that employees can access online.
2Please describe the services that the employer/client can access online.
3What is the average length of time that a member spends on your website?
4Can a member request and schedule a face-to-face consultation online?
5Do you have virtual consultations / visits available?

&"Segoe UI,Bold"EAP RFP WORKBOOK

&A Holmes Murphy - CONFIDENTIAL &P

File details come from the government source that posted it. Updated .